Thursday, December 4, 2025

Medicare & Compliance Changes
9:00 AM-12:00 PM
(Program# 25921-1204)
3 PMI CEU(s)

CPT Code Update
1:00 PM-4:00 PM
(Program# 25922-1204)
3 PMI CEU(s)

Where:
TBD

EDINBURG, TX 78539

Fee:
$239 per person
Includes instructional materials

Seating is limited. Please register early!

Register:

Fax: 210-691-8972
Phone: 800-259-5562
Mail: REGISTRATION

PRACTICE MANAGEMENT INSTITUTE
10223 MCALLISTER FWY, SUITE 104
SAN ANTONIO, TX 78216

Brought to you by:

Medicare & Compliance Changes

Be Prepared for January 1

Advance knowledge of the latest healthcare compliance and Medicare updates will prepare you to forecast the impact on your practice and respond proactively. The proposed Medicare Physician Fee Schedule (PFS) rule indicates that major changes are forthcoming in 2026. Join PMI's annual update program to gain clarity on the new payment policies, rates, and quality-related provisions for physician services furnished under the 2026 PFS final rule, which will be released in November. Every specialty that bills Medicare for services rendered will need to be informed about these changes to submit accurate claims in the new year, and other payers typically follow suit. Pertinent details that impact your revenue positively and/or negatively will be explained. Attend this session to learn the facts of which proposals will be finalized and adopted by CMS for implementation in 2026 and beyond. All pertinent Medicare payment details that could impact your revenue positively and/or negatively will be explained.

Provisions covered in the rule include:

Two separate conversion factors and an efficiency adjustment (-2.5%)
Significant updates to Practice Expense methodology
Updates to the geographic practice cost indices (GPCIs) and malpractice RVUs
New G codes and add on codes for Advanced Primary Care Management
Streamlined process for adding services to the Medicare Telehealth Services List
CMS is seeking to remove the distinction between provisional and permanent services and will limit review on whether the service can be furnished using an interactive, two-way audio-video telecommunications system
Expanded policies for DMHT services / devices used in the treatment of ADHD
Definition of direct supervision to allow supervising practitioners to providesupervision through real-time audio and visual interactive telecommunications
Transitioning back to pre-PHE policy for teaching physician reimbursement requirements with a rural exception
Changes to the way CMS pays for skin substitute products under the PFS
Coding and payment policy changes for Rural HealthClinics (RHCs) and Federally Qualified Health Centers(FQHCs)
Policies for the Medicare Prescription Drug Inflation Rebate Program to include establishing a claims-based methodology to remove 340B units from Part D rebate calculations
Guidance regarding Part B drugs and biologicals ASP pricing concessions and bona fide service fees

The latest details on the Quality Payment Program (QPP) and recently added active items on the OIG Work Plan will also be reviewed. Learn what you need to know about the changes to help you best determine what course of action your practice should take in response. Make informed decisions to guide your practice is a positive direction in the new year.

Target Audience
This intermediate-level course is designed for medical practice leaders and their staff responsible for managing the business aspects of a healthcare practice. A basic level of knowledge of provider billing and compliance processes is assumed. The content will also benefit healthcare consultants, compliance officers, and provider reimbursement teams.

Why Attend this Session?

Learn what you need to know about updated legislation and policy changes to help you best determine what course of action your practice should take in response. Often private payers follow Medicare guidelines for coverage decisions and reimbursement rates. Make informed decisions to guide your practice is a positive direction in the new year.

Registration includes digital companion materials to serve as a resource beyond the classroom.

PMI CEUs: PMI Certified Professionals will earn 3 PMI Continuing Education Units (CEUs) for attendance at this program. If you are seeking CEU credits for other certifications, contact your organization for preapproval and credit guidelines. A certificate of attendance will be provided for attendance at this program.

CPT Code Update

Be Prepared for January 1

Join PMI's annual coding update class to learn details about the CPT® code and guideline changes effective January 1. Attend this session to enhance your understanding of the most current CPT® codes, guidelines, and corresponding procedures. Find out how updates to the procedural code set may impact billing for your specialty. Learn how to effectively navigate through the revisions to gain insight into how the updated code set will affect provider documentation and claims in your healthcare organization. Be equipped to best prepare your team and billing systems for the changes.

Medical coders, billers, auditors, and clinicians are invited to attend this course to become informed of the new, revised, and deleted CPT® codes for 2026. This guided review will help you better comprehend the changes and provide your practice with a head start in the New Year. Includes digital companion materials with details on the code changes to serve as a resource beyond the classroom.

This training will help you:

Identify templates, encounter forms, and documentation tools that may need to be updated and/or replaced
Prepare to collaborate with your practice management system and EHR vendors to update coding and billing software
Understand the documentation requirements linked to new and revised codes
Avoid relying solely on EMR auto-coding

Target Audience

Prior knowledge of CPT coding is expected. This intermediate-level course is designed for those involved in coding or revenue cycle management including medical coders, billers, providers, managers, consultants, and compliance officers. A CPT® code set manual is not required but will be helpful to comprehend the context of the code system changes.

Why Attend this Session?

Stay ahead of the curve with a comprehensive review of the CPT® code changes and associated coding guidelines for services provided in CY 2026. This program will help you keep provider reimbursement on track by reducing potential claim denials associated with improper code selection.

Don't let coding changes catch you off guard. Register today to best prepare.


Thursday, December 4, 2025 Medicare & Compliance Changes 9:00 AM-12:00 PM (Program# 25921-1204) 3 PMI CEU(s) CPT Code Update 1:00 PM-4:00 PM (Program# 25922-1204) 3 PMI CEU(s) Where: TBD EDINBURG, TX 78539 Fee: $239 per person Includes instructional materials Seating is limited. Please register early! Register: Fax: 210-691-8972 Phone: 800-259-5562 Mail: REGISTRATION PRACTICE MANAGEMENT INSTITUTE 10223 MCALLISTER FWY, SUITE 104 SAN ANTONIO, TX 78216 Brought to you by:		Medicare & Compliance Changes Be Prepared for January 1 Advance knowledge of the latest healthcare compliance and Medicare updates will prepare you to forecast the impact on your practice and respond proactively. The proposed Medicare Physician Fee Schedule (PFS) rule indicates that major changes are forthcoming in 2026. Join PMI's annual update program to gain clarity on the new payment policies, rates, and quality-related provisions for physician services furnished under the 2026 PFS final rule, which will be released in November. Every specialty that bills Medicare for services rendered will need to be informed about these changes to submit accurate claims in the new year, and other payers typically follow suit. Pertinent details that impact your revenue positively and/or negatively will be explained. Attend this session to learn the facts of which proposals will be finalized and adopted by CMS for implementation in 2026 and beyond. All pertinent Medicare payment details that could impact your revenue positively and/or negatively will be explained. Provisions covered in the rule include: Two separate conversion factors and an efficiency adjustment (-2.5%) Significant updates to Practice Expense methodology Updates to the geographic practice cost indices (GPCIs) and malpractice RVUs New G codes and add on codes for Advanced Primary Care Management Streamlined process for adding services to the Medicare Telehealth Services List CMS is seeking to remove the distinction between provisional and permanent services and will limit review on whether the service can be furnished using an interactive, two-way audio-video telecommunications system Expanded policies for DMHT services / devices used in the treatment of ADHD Definition of direct supervision to allow supervising practitioners to providesupervision through real-time audio and visual interactive telecommunications Transitioning back to pre-PHE policy for teaching physician reimbursement requirements with a rural exception Changes to the way CMS pays for skin substitute products under the PFS Coding and payment policy changes for Rural HealthClinics (RHCs) and Federally Qualified Health Centers(FQHCs) Policies for the Medicare Prescription Drug Inflation Rebate Program to include establishing a claims-based methodology to remove 340B units from Part D rebate calculations Guidance regarding Part B drugs and biologicals ASP pricing concessions and bona fide service fees The latest details on the Quality Payment Program (QPP) and recently added active items on the OIG Work Plan will also be reviewed. Learn what you need to know about the changes to help you best determine what course of action your practice should take in response. Make informed decisions to guide your practice is a positive direction in the new year. Target Audience This intermediate-level course is designed for medical practice leaders and their staff responsible for managing the business aspects of a healthcare practice. A basic level of knowledge of provider billing and compliance processes is assumed. The content will also benefit healthcare consultants, compliance officers, and provider reimbursement teams. Why Attend this Session? Learn what you need to know about updated legislation and policy changes to help you best determine what course of action your practice should take in response. Often private payers follow Medicare guidelines for coverage decisions and reimbursement rates. Make informed decisions to guide your practice is a positive direction in the new year. Register today to stay informed, compliant, and ready Registration includes digital companion materials to serve as a resource beyond the classroom. PMI CEUs: PMI Certified Professionals will earn 3 PMI Continuing Education Units (CEUs) for attendance at this program. If you are seeking CEU credits for other certifications, contact your organization for preapproval and credit guidelines. A certificate of attendance will be provided for attendance at this program. CPT Code Update Be Prepared for January 1 Join PMI's annual coding update class to learn details about the CPT® code and guideline changes effective January 1. Attend this session to enhance your understanding of the most current CPT® codes, guidelines, and corresponding procedures. Find out how updates to the procedural code set may impact billing for your specialty. Learn how to effectively navigate through the revisions to gain insight into how the updated code set will affect provider documentation and claims in your healthcare organization. Be equipped to best prepare your team and billing systems for the changes. Medical coders, billers, auditors, and clinicians are invited to attend this course to become informed of the new, revised, and deleted CPT® codes for 2026. This guided review will help you better comprehend the changes and provide your practice with a head start in the New Year. Includes digital companion materials with details on the code changes to serve as a resource beyond the classroom. This training will help you: Identify templates, encounter forms, and documentation tools that may need to be updated and/or replaced Prepare to collaborate with your practice management system and EHR vendors to update coding and billing software Understand the documentation requirements linked to new and revised codes Avoid relying solely on EMR auto-coding Target Audience Prior knowledge of CPT coding is expected. This intermediate-level course is designed for those involved in coding or revenue cycle management including medical coders, billers, providers, managers, consultants, and compliance officers. A CPT® code set manual is not required but will be helpful to comprehend the context of the code system changes. Why Attend this Session? Stay ahead of the curve with a comprehensive review of the CPT® code changes and associated coding guidelines for services provided in CY 2026. This program will help you keep provider reimbursement on track by reducing potential claim denials associated with improper code selection. Don't let coding changes catch you off guard. Register today to best prepare. PMI CEUs: PMI Certified Professionals will earn 3 PMI Continuing Education Units (CEUs) for attendance at this program. If you are seeking CEU credits for other certifications, contact your organization for preapproval and credit guidelines. A certificate of attendance will be provided for attendance at this program.